Table 8C: Medicaid-Only HCBS Participants

Assessing the Health and Welfare of the HCBS Population

Table 8: Outcome Indicators for the Home and Community-Based Services Population by Participant Attributes, 2005a

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Table 8C: Medicaid-Only HCBS Participants

Outcome IndicatorWhite Only, Non-HispanicBlack Only, Non-HispanicHispanicOther Race or Multiple Races, Non-HispanicUnknown RaceMaleFemaleAges 18-64Ages 65-84Age 85+MSANon-MSA
Short-Term Complications of Diabetes36077333819838542147948313568422604
  Minssssssssssss
  Max1,7472,7894,348920s3,3192,4182,377224s2,4992,502
Asthma or Chronic Obstructive Pulmonary Disease3,2953,6292,9141,5382,9931,8914,2173,2652,9431,0932,9944,216
  Minssssss741350ss644s
  Max7,2589,9648,14439,098s4,3939,3897,34129,2686,3246,1409,771
Congestive Heart Failure2,0324,9373,0361,8462,4662,2483,3782,7344,6135,3072,9142,884
  Minssssss709sssss
  Max4,98312,52317,39120,571s4,70211,4418,67815,10760,6068,69010,572
Composite: Potentially Preventable Infection4,8135,4405,0713,9054,3284,7135,0664,8305,5467,6764,7185,711
  Min2,944ssss1,7362,0332,895ss2,504s
  Max9,54419,86113,16315,038s11,61810,19411,16139,02430,30311,64210,899
    Bacterial Pneumonia3,1873,1673,0962,6152,8393,0593,1583,0643,4655,0342,9603,728
      Min1,644ssss1,7701,4811,512ss1,540s
      Max5,6689,2389,50615,038s7,4696,0556,35419,51215,1526,3297,065
    Urinary Tract Infection1,6262,2731,9751,2901,4891,6531,9071,7662,0812,6421,7581,984
      Minsssss405527800ss784s
      Max4,52710,62410,9229,023s5,3544,6024,80719,51215,1525,3124,511
Infection Due to Device or Implant7851,026736571625697907850500s797915
  Minssssssssssss
  Max3,4784,1573,6613,352s2,4903,1542,6071,720s3,0522,462
Dehydration1,0761,6001,0376959981,0171,2971,1801,0471,5941,1021,503
  Minssssss424241ss420s
  Max2,9843,17215,19010,526s2,5953,5642,8344,3646,1862,5673,717
Composite: ACSC Chronic Conditions7,55812,8099,3085,0618,1816,53710,8078,9189,8947,9278,62010,676
  Minsssss1,3091,778840ss604s
  Max19,36922,64233,33342,105s13,57426,98321,76236,12569,69720,15825,226
Composite: ACSC Acute Conditions4,3604,4924,4893,4483,9713,8014,7274,2285,1597,2664,0675,447
  Min2,039ssss1,6852,0332,290ss2,066s
  Max9,76912,47112,90315,038s7,64110,8459,30139,02427,2737,91211,656
Composite: ACSC Overall11,91717,30013,7978,50912,15210,33815,53313,14615,04915,19312,68716,123
  Min3,503ssss2,3335,1853,498ss3,109s
  Max29,13928,88233,33357,143s19,83035,25629,84068,29396,97025,54936,882
Pressure Ulcer2,0083,4681,5081,3051,8292,9441,7612,3171,6192,2092,2062,570
  Minsssss509377567ss785s
  Max6,52026,79016,90121,429s13,4446,69210,4287,4899,50612,2076,952
Injurious Falls88472640494581647613743157
  Minssssssssssss
  Max6935353,333470s3598136177184,743649797
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Notes: 

ACSC = ambulatory care-sensitive condition; I/DD = intellectual and development disabilities; MSA = metropolitan statistical area; SMI = serious mental illness.

a. All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS population. HCBS population for outcome indicators excludes: individuals under age 18; people with only institutional use in a given quarter; people on managed care plans; and people in the States of Arizona, Maine, Washington, and Wisconsin.

Minimum (min) and maximum (max) defined as lowest rate and highest rate among States.

Dually eligible = dually eligible for Medicaid and Medicare. Eligibility for Medicare defined as inclusion in Medicare Denominator File.

Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare.

HCBS subpopulations of I/DD, SMI, Under 65 Without I/DD or SMI, and 65+ are defined as in the Appendix.

s = Suppressed due to small cell size.

Source: Agency for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

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Page last reviewed December 2012
Internet Citation: Table 8C: Medicaid-Only HCBS Participants: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/hcbsfindings/hcbsfindtab8c.html